Chapter 743  Health and Life Insurance

General Provisions

§ 743.004 Submission of information by carriers offering health benefit plans
§ 743.005 Protection of health information report
§ 743.007 Data reporting
§ 743.008 Reporting requirements

(Filing And Approval Of Rates, Schedules And Forms)

§ 743.010 Health insurance policy and health benefit plan forms
§ 743.015 Filing and approval of credit life and credit health insurance forms
§ 743.018 Filing of rates for life and health insurance
§ 743.019 Procedure for review of proposed rates for health insurance
§ 743.020 Rate filing to include statement of administrative expenses
§ 743.022 Premium rates for individual health benefit plans
§ 743.023 Electronic administration

(Forms And Standards)

§ 743.028 Uniform health insurance claim forms
§ 743.029 Uniform standards for health care financial and administrative transactions
§ 743.031 Stakeholder work group to recommend uniform standards
§ 743.034 Coordination with Oregon Health Authority concerning uniform standards
§ 743.035 Uniform prior authorization form for prescription drug benefits

Health And Life Insurance

§ 743.038 Consent of individual required for life and health insurance
§ 743.039 Alteration of application for life or health insurance
§ 743.040 Personal insurance, insurable interest and beneficiaries
§ 743.041 Payment discharges insurer
§ 743.043 Assignment of policies
§ 743.044 Life insurance for benefit of charity
§ 743.046 Exemption of proceeds of individual life insurance other than annuities
§ 743.047 Exemption of proceeds of group life insurance
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Policy Language Simplification

§ 743.100 Short title
§ 743.101 Purpose
§ 743.103 Definitions for ORS 743.100 to 743.109
§ 743.104 Scope of ORS 743.100 to 743.109
§ 743.106 Reading ease standards for life and health insurance policies
§ 743.107 When director may authorize lower standards
§ 743.109 Approval of certain policy forms containing specified provisions

Individual Life Insurance And Annuities

(Generally)

§ 743.150 Scope of ORS 743.150, 743.153 and 743.156
§ 743.153 Statement of benefits
§ 743.154 Acceleration of death benefits
§ 743.156 Statement of premium

(Individual Life Insurance Policies)

§ 743.159 Scope of ORS 743.162 to 743.243
§ 743.162 Payment of premium
§ 743.165 Grace period
§ 743.168 Incontestability
§ 743.171 Incontestability and limitation of liability after reinstatement
§ 743.174 Entire contract
§ 743.177 Statements of insured
§ 743.180 Misstatement of age
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(Individual Annuity And Pure Endowment Policies)

§ 743.252 Scope of ORS 743.255 to 743.273
§ 743.255 Grace period for annuities
§ 743.258 Incontestability
§ 743.261 Entire contract
§ 743.264 Misstatement of age or sex
§ 743.267 Dividends
§ 743.268 Advancement of policy loans
§ 743.269 Periodic payments for period certain
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Group Life Insurance

§ 743.303 Requirements for issuance of group life insurance policies
§ 743.306 Required provisions in group life insurance policies
§ 743.309 Nonforfeiture provisions
§ 743.312 Grace period
§ 743.315 Incontestability
§ 743.318 Application
§ 743.321 Evidence of insurability
§ 743.324 Misstatement of age
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Credit Life And Credit Health Insurance

§ 743.371 Definitions for credit life and credit health insurance provisions
§ 743.372 Applicability of credit life and credit health insurance provisions
§ 743.373 Forms of credit life and credit health insurance
§ 743.374 Limits on amount of credit life insurance
§ 743.375 Limit on amount of credit health insurance
§ 743.376 Duration of credit life and credit health insurance
§ 743.377 Credit life and credit health insurance policy or group certificate
§ 743.378 Charges and refunds to debtor
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Health Insurance Policy Provisions

§ 743.402 Exceptions to individual health insurance policy requirements
§ 743.405 General requirements for health insurance policies
§ 743.406 Required provisions in group health insurance policies
§ 743.408 Mandatory provisions
§ 743.411 Entire contract
§ 743.414 Time limit on certain defenses
§ 743.417 Grace period
§ 743.420 Reinstatement
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Group Health Insurance

(Plans For Leased Workers)

§ 743.521 Leased workers
§ 743.522 Additional groups designated by director

(Association Plans)

§ 743.523 Certain sales practices prohibited
§ 743.524 Eligibility of association to be group health policyholder
§ 743.526 Determination of whether trustees are policyholders
§ 743.535 Health benefit coverage for guaranteed association

(Blanket Health Insurance)

§ 743.536 Blanket health insurance defined
§ 743.537 Required provisions for blanket health insurance policies
§ 743.540 Application and certificates not required for blanket health insurance policies
§ 743.543 Payment of benefits under blanket health insurance policies
§ 743.546 Exemption of policy form approval for blanket health insurance policies

(Student Health Insurance)

§ 743.550 Student health insurance
§ 743.551 Student health benefit plans

(Long Term Care Insurance)

§ 743.650 Long Term Care Insurance Act
§ 743.652 Definitions for ORS 743.650 to 743.665
§ 743.653 Prohibition on certain policies
§ 743.655 Rules
§ 743.656 Eligibility for benefits
§ 743.658 Notice of lapse or termination
§ 743.662 Rescission of policy and denial of claims
§ 743.664 Offer of nonforfeiture benefit
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(Medicare Supplement Policies)

§ 743.680 Definitions for ORS 743.680 to 743.689
§ 743.682 Application of ORS 743.680 to 743.689
§ 743.683 Policy contents
§ 743.684 Filing of policy
§ 743.685 Outline of coverage
§ 743.686 Right to return of policy
§ 743.687 Advertising
§ 743.688 Rules
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(Prescription Drug Programs)

§ 743.787 Definitions for ORS 743.788
§ 743.788 Prescription drug identification card
§ 743.790 Rules for prescription drug identification cards

(Wellness Programs)

§ 743.824 Cash dividends for healthy behaviors

(Catastrophic Coverage)

§ 743.826 Requirements for catastrophic plans